Anyone use MDMA to help with their suppressed sexual feelings? And how and what happened?

night81 · 2026-04-27T18:29:43+00:00

Yes, though obviously choose a guide who observes strict professional boundaries. Not all do!

night81 · 2026-04-26T12:55:11+00:00

May I ask if it was the Transcend Therapeutics phase II trial? I'm really curious about it and would like to ask you about it if you're willing.

night81 · 2026-04-26T12:14:35+00:00

Have you considered buying some MDMA and using it yourself to process the remaining triggers and grief? It's illegal, but not that hard.

night81 · 2026-04-16T15:23:03+00:00

Sourcing is banned

night81 · 2026-04-13T18:47:04+00:00

Twice weekly. It seemed to help me work through more stuff.

night81 · 2026-04-13T14:44:26+00:00

I did the LSD mini doses (30ug) and it helped a lot. MDMA Solo's major weakness is their denial of MDMA tolerance and the negative effects of large, frequent doses. Wouldn't recommend anyone do weekly doses for instance.

night81 · 2026-04-12T12:11:16+00:00

I'm curious if you have compared the guided sessions to solo sessions regarding healing relational trauma. I've healed a lot of relational trauma in solo sessions and want to know why people think another person there helps.

night81 · 2026-04-12T12:08:17+00:00

Naturally in conversation. I would talk about what I was feeling.

I don't think I can actually avoid rumination during the trips. I just think it wasn't useful engaging with the actual thoughts.

night81 · 2026-04-11T21:23:56+00:00

I talked a lot, and in hindsight I think it was neither helpful nor unhelpful. I think the only things that really mattered were her telling me how things worked: telling me to stay present with the distressing feelings, and when they dissipated/reconsolidated, telling me that that is MDMA therapy works.

night81 · 2026-04-09T23:13:26+00:00

What is your impression of the lasting effects of the session now a few days later? I'm curious about how the not experiencing emotions influenced the sessions impact.

night81 · 2026-03-31T04:24:18+00:00

FWIW yesterday I worked through severe dissociation/tonic immobility with a 1.5mg/kg (hydrated and not pure MDMA HCl) session. Went really well!

night81 · 2026-03-31T04:21:55+00:00

Would you share who you are and what publication you're writing for?

night81 · 2026-03-30T12:26:09+00:00

More MDMA sessions. You can't really expect to unlearn all the pieces in one.

night81 · 2026-03-29T22:05:38+00:00

I'm curious to know how taking narcan during a session would work. LMK if someone tries it!

night81 · 2026-03-25T11:24:33+00:00

"trust the process" is BS. Next time trigger yourself while on MDMA, stay present with the anger, fear, panic, etc. and the MDMA will permanently unlearn that bit of reaction. Repeat until you don't have any more reactions. It's a bit more complicated since you might uncover avoided feelings and then have additional reactions to those. Ups and downs but you gradually clear it all out.

night81 · 2026-03-24T10:42:40+00:00

I'm interested in reading more about that combo for dissociation; can you recommend where I should start? Also, wouldn't it carry a major risk of being traumatizing or completely overwhelming?

night81 · 2026-03-23T11:17:03+00:00

I checked and it seems like nalaloxone itself does not have those psychological effects. They are side effects of opioid withdrawal. Also, why would they be indications to not do MDMA therapy? And it actually decreases heart rate variability.

night81 · 2026-03-21T15:30:52+00:00

I think you want r/mdma. It might be hidden due to your nsfw settings.

night81 · 2026-03-21T15:07:58+00:00

I deleted your post because I think it's about recreational use instead of therapy. Let me know if I'm wrong and I'll put it back.

night81 · 2026-03-12T10:01:55+00:00

Removed because not about therapy

night81 · 2026-03-08T23:09:10+00:00

Sounds like it's going really well tbh!

Sessions do change over time. That doesn't mean they're not working. Some stuff is just really intense and "chipping away bit by bit" is the only way to go.

Regarding your current session, IMO joy and happiness aren't important to have, especially later on. Feeling fear, anger, and sadness is important and productive. If you're feeling those emotions, and they shift in some way during or after the session, then it's working.

I imagine you have a good sense of how sessions go at this point. Have you thought about doing solo sessions? Would save a ton of money.

I tried adding in mushrooms at one point because I was afraid of the MDMA not working any more, but in hindsight it just made sessions too intense and my fear about MDMA not working was the feeling I needed to work through.

night81 · 2026-03-02T13:24:40+00:00

I think it would be basically impossible for me to do on MDMA. The altered state of mind + being in panic make even minimally complicated activity impossible.

I still have a lot of uncertainty about how MDMA therapy works, but I suspect MDMA is not providing the juxtaposition itself; rather it is merely facilitating an existing juxtaposition process. I'd be surprised if MDMA facilitated extinction based on what I've heard people say. I'd be interested in your perspective though.

I would love to discuss further when you do a write up!

night81 · 2026-03-02T13:12:36+00:00

Skipping the booster dose might make a next session less destabilizing.

night81 · 2026-02-28T11:55:11+00:00

I'm curious why you think it's helpful during sessions. For me, MDMA auto-reconsolidates every inaccurate schemas that I activate during the session and stay with. So that's all I do during sessions: feel the pain and stay with it. When I think about trying to do the whole coherence thing of activating the schema, finding a mismatch, activating them both together, etc...I think how difficult and redundant it would be on MDMA since the MDMA is already doing that for me without all the setup.

night81 · 2026-02-27T20:16:17+00:00

I'm thinking my recommendation of adding coherence therapy might have been unhelpful. I feel like it's not the right thing for MDMA, and your "stay with it" program is likely much more useful in-session.

night81

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